Individual
DR. ROGELIO SANTAMARIA SAMORANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2891 N SILKIE PL, TUCSON, AZ 85719-2866
(619) 993-6556
Mailing address
1135 W EBNER PL, TUCSON, AZ 85714-1109
(619) 993-6556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
51294
AZ
207Q00000X
Family Medicine Physician
A95795
CA
2084P0800X
Psychiatry Physician
Primary
51294
AZ
2084P0800X
Psychiatry Physician
A95795
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GE406Y
MEDICARE PTAN
CA
01
—
GE406Z
MEDICARE PTAN
CA
01
—
W14158
MEDICARE GROUP PTAN
CA
01
—
ZZZ20041Z
MEDICARE GROUP PTAN
CA
Enumeration date
02/27/2007
Last updated
01/21/2025
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